Healthcare Provider Details

I. General information

NPI: 1386559128
Provider Name (Legal Business Name): ASHLEY DARLENE CLINE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

50 N MEDICAL DR
SALT LAKE CITY UT
84132-0001
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2121
  • Fax: 801-646-9084
Mailing address:
  • Phone: 801-581-2121
  • Fax: 801-646-9084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number9482633-8911
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: